| NPI | 1609281237 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARRYL BOOTH Director Of Operations 888-601-6040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2014-06-23 |
| Last Update Date | 2014-06-23 |